a运动疗法运用于重症肺炎机械通气患者的观察与护理
冯洁惠1 1 1
1. 浙江大学医学院附属第一医院, 2. 浙江中医药大学护理学院
【摘要】 目的 对48例重症肺炎机械通气患者在治疗期间采用运动疗法，提高了患者的体能及心肺贮备,促进了患者早日脱机康复。方法 试验组在常规呼吸道护理基础上,根据患者病情及体力进行循序渐的5步运动疗法；对照组按常规呼吸道护理。结果 机械通气第15日和第25日，试验组潮气量、呼吸频率、动脉血气PaCO2指标均优于对照组（P <0.01）；机械通气第25日，试验组心率优于对照组（P<0.01）；试验组患者呼吸机相关性肺炎（ventilation associated pneumonia,VAP）发生率、机械通气日及ICU住院日均明显少于对照组（P<0.01）。结论 运动疗法对行有创机械通气的重症肺炎患者有积极作用。
【关键词】 运动； 重症肺炎； 机械通气； 护理
Observation of exercise therapy for severe pneumonia
patients with mechanical ventilation and their nursing/ FENG
Jie-hui, XU Jian-ning,
【Abstract】 Objective To study the effect of the exercise therapy on physical ability and cardiopulmonary function reserve in 48 severe pneumonia patients with mechanical ventilation. Methods The control group received conventional respiratory care，the experimental group received gradual and personal Exercise therapy(sub-five-step) which was implemented by nurse according to patients condition and physical level. Results Compared with the control group，the VT、f、PaCO2、HR and the incidence of the VAP were better ,and the time of mechanical ventilation and ICU hospitalization were shorter in the experimental group. Conclusions Exercise therapy for severe pneumonia patients with mechanical ventilation have a positive effect.
【Key words】 Exercise；Severe pneumonia； Mechanical ventilation ；Nursing care
